Graduated: 2019
NPI: 1003461823
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
340 S PARK ST
WALLA WALLA, WA 993623249
5098972119
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
380 CHASE AVE
WALLA WALLA, WA 993622924
5098973333
Source: CMS National Downloadable File, September 2026.